| NPI | 1427120120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS KS2317) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO MO2002019553) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-03-31 |